Insertion should be ultrasound-guided by an experienced operator to ensure large-caliber basilic or brachial veins are selected to avoid thrombosis.
Indications for iv Midline Catheters:
IV Access/Medication Administration: 39%
Need for IV Access Alone: 26%
Need for IV Access, Medication Administration, and Ongoing Resuscitation: 17%
The midline catheter (i.e. long peripheral catheter) is an iv midline catheter placed into a peripheral vein, with the distal tip located just proximal to the axilla.
Midline catheters can range from 10 to 25cm in length, have a single or double lumen, and are placed ultrasonography.